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The Scottish Retinal Detachment Study: 10-year outcomes after retinal detachment repair
James E Hazelwood1,2, Danny Mitry3, Jaswinder Singh4
1Princess Alexandra Eye Pavilion, Chalmers St, Edinburgh, EH3 9HA, UK. James.hazelwood2@nhs.scot.
Eye (London, England)
|January 24, 2025
Summary
Long-term outcomes for rhegmatogenous retinal detachment (RRD) repair show excellent visual acuity, especially for macula-on cases. Redetachment is uncommon but impacts long-term visual results, underscoring the need for patient and surgeon guidance.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Visual Acuity Research
Background:
- Rhegmatogenous retinal detachment (RRD) repair outcomes require long-term data.
- Previous studies lack comprehensive 10-year follow-up on visual acuity and redetachment rates.
Purpose of the Study:
- To determine the 10-year best-corrected visual acuity (BCVA), redetachment rate, and lens status after RRD repair.
- To provide long-term data for guiding patient and surgeon expectations following RRD repair.
Main Methods:
- Retrospective analysis of patients from the Scottish Retinal Detachment Study.
- Inclusion criteria: RRD repair with 10-year follow-up data available.
- Exclusion criteria: Lack of 10-year data or significant co-morbid ophthalmic disease impacting visual acuity.
Main Results:
- 103 patients met inclusion criteria; median 10-year BCVA was 0.1 logMAR (6/7.5).
- Macula-on RRD repair yielded significantly better 10-year BCVA than macula-off (-0.18 logMAR, p < 0.001).
- 93% of macula-on and 65% of macula-off patients achieved UK driving visual standards; 14% experienced redetachment with poorer outcomes.
Conclusions:
- Long-term BCVA after RRD repair remains excellent, particularly for macula-on cases.
- Macula-on RRDs achieve superior long-term visual acuity compared to macula-off RRDs.
- Redetachment is infrequent but negatively affects long-term visual outcomes.
